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• W4362671231 abstract "Background and aim Elective surgery can be overwhelming for children, leading to pre-operative anxiety, which is associated with adverse clinical and behavioural outcomes. Evidence shows that paediatric preparation digital health interventions (DHIs) can contribute to reduced pre-operative anxiety and negative behavioural changes. However, this evidence does not consider their design and development in the context of behavioural science. This systematic review used the Theoretical Domains Framework (TDF) to evaluate the design and development of DHIs used to support children up to 14 years of age and their parents, prepare for hospital procedures, and determine any correlation to health outcomes. It also considered whether any behavioural frameworks and co-production were utilised in their design. Methods A search of the MEDLINE, EMBASE, PsycINFO, and HMIC databases was carried out, looking for original, empirical research using digital paediatric preparation technologies to reduce pre-operative anxiety and behavioural changes. Limitations for the period (2000–2022), English language, and age applied. Results Seventeen studies were included, sixteen randomised control trials and one before and after evaluation study. The results suggest that paediatric preparation DHIs that score highly against the TDF are (1) associated with improved health outcomes, (2) incorporate the use of co-production and behavioural science in their design, (3) are interactive, and (4) are used at home in advance of the planned procedure. Conclusion Paediatric preparation DHIs that are co-produced and designed in the context of behavioural science are associated with reduced pre-operative anxiety and improved health outcomes and may be more cost-effective than other interventions. Systematic Review Registration https://www.crd.york.ac.uk/prospero/ , identifier: CRD42022274182." @default.
• W4362671231 created "2023-04-07" @default.
• W4362671231 creator A5009206919 @default.
• W4362671231 creator A5053568444 @default.
• W4362671231 creator A5077222400 @default.
• W4362671231 date "2023-04-06" @default.
• W4362671231 modified "2023-10-18" @default.
• W4362671231 title "Systematic review of the development and effectiveness of digital health information interventions, compared with usual care, in supporting patient preparation for paediatric hospital care, and the impact on their health outcomes" @default.
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• W4362671231 doi "https://doi.org/10.3389/frhs.2023.1103624" @default.
• W4362671231 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37089454" @default.
• W4362671231 hasPublicationYear "2023" @default.
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